374600026-10-31-2022-08-AS-DPOL-CKQSFX-20221031135100

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600026
Report Date: 10/28/2022
Date Signed: 10/31/2022 07:40:52 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/05/2021 and conducted by Evaluator Liliana Silveira

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20211005102024

FACILITY NAME:	SILVERGATE SAN MARCOS RETIREMENT RESIDENCE		FACILITY NUMBER:	374600026
ADMINISTRATOR:	JOAN RINK-CARROLL		FACILITY TYPE:	740
ADDRESS:	1550/1560 SECURITY PLACE		TELEPHONE:	(760) 744-4484
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92078
CAPACITY:	160	CENSUS: 98	DATE:	10/28/2022
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Executive Director Joan Rink-Carroll		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff financially abused resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegations. LPA Silveira met with Executive Director Joan Rink-Carroll and shared the findings.

The Department’s investigation consisted of interviews and records review. On 10/05/21, it was alleged that staff financially abused a resident. Resident #1 (R1) reported money missing from their room. A records review and an interview with the Executive Director revealed that an internal investigation was conducted, and the incident was reported to the local Sheriff’s Department as required.

The facility’s internal investigation consisted of staff and resident interviews, as well as a review of internal records. The investigation findings revealed that there were no witnesses and residents could not identify a suspected abuser. The review of internal records revealed inconsistencies with the documentation of staff access to room keys and staff presence in resident rooms on the dates of the incident. (CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Liliana Silveira	TELEPHONE: (619) 314-0756
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20211005102024

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: SILVERGATE SAN MARCOS RETIREMENT RESIDENCE	FACILITY NUMBER: 374600026
	VISIT DATE: 10/28/2022

NARRATIVE

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The facility reimbursed the resident for the missing money. The facility had also informed all residents about their Theft & Loss Policy Program upon admission to the facility.

Outside interviews and records review revealed that a case for this incident was opened by the local Sheriff’s Department and residents and staff were interviewed. Because there were no witnesses or other evidence, such as video surveillance, no arrests were made. The case was referred to the California Department of Justice. No further information was provided regarding the status of the case during the Department’s investigation.

Interviews with staff, residents and outside sources also revealed that there were no witnesses to the alleged theft and that a suspected abuser could not be identified by staff and residents. Therefore, there was a lack of corroborating evidence to support this allegation. Due to lack of corroborating evidence, the findings regarding the above allegations were established to be unsubstantiated. This finding means although the allegations may have happened or could be valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

LPA Silveira conducted an exit interview with Joan. At the time of the exit interview Joan was provided with a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) and signature on this report acknowledges receipt of the rights.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Liliana Silveira	TELEPHONE: (619) 314-0756
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022

LIC9099 (FAS) - (06/04)

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